Active NPI
Vanessa Christine Stubbs, M.D.
- Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036165573
- Practice address
- 1520 W Harrison St
Chicago, IL 60607-3106 - Phone
- (312) 942-6500
- Fax
- (312) 942-6100
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME139084 | FL | |
| Otolaryngology Physician | 207Y00000X | 25MA10898200 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT206698 | PA | |
| Otolaryngology Physician | 207Y00000X | 036165573 | IL | Primary |
Addresses
Primary practice location
1520 W Harrison St
Chicago, IL 60607-3106
Mailing address
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-6500
Other practice location 1
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (328) 283-0007
Other practice location 2
10 Plum St Fl 5
New Brunswick, NJ 08901-2066
Phone (732) 235-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Northwestern University Feinberg Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036165573 | IL | MD | Otolaryngology Physician |
| 25MA10898200 | NJ | MD | Otolaryngology Physician |
| MT206698 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rush University Medical Center | Otolaryngology | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rush University Medical Group | Otolaryngology | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
610 S Maple Ave
Ste 3700
Oak Park, IL 60304
Phone (708) 660-6100
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333
10 Plum St
Fl 8
New Brunswick, NJ 08901
Phone (732) 235-5530
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
IN, Otolaryngology
-
- Pediatric Surgery Physician
- New Brunswick, NJ
- NPI 1487736146
-
- Surgery Physician
- Somerville, NJ
- NPI 1548356926
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
Otolaryngology
-
- Surgery Physician
- New Brunswick, NJ
- NPI 1083738637
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Otolaryngic Allergy Physician
- Miami, FL
- NPI 1386694115
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1801209556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-6500",
"fax_number": "312-942-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-6500",
"fax_number": "312-942-6100"
}
],
"practiceLocations": [
{
"address_1": "1 Robert Wood Johnson Pl",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011928",
"country_code": "US",
"telephone_number": "328-283-0007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Plum St Fl 5",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089012066",
"country_code": "US",
"telephone_number": "732-235-5530",
"fax_number": "732-565-9742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUBBS",
"first_name": "VANESSA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2024-03-04",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME139084",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA10898200",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT206698",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036165573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.